Individual
TAYLAN ENTRIKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1000 W LINCOLN WAY, JEFFERSON, IA 50129-1645
(515) 386-4284
Mailing address
PO BOX 461, NEVADA, IA 50201-0461
(515) 382-3366
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
123719
IA
Other
Enumeration date
02/01/2024
Last updated
02/01/2024
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